Individual
MRS. EMILY MOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
711 FESS ST, ZANESVILLE, OH 43701-5357
(740) 624-8260
Mailing address
2925 BOGGS RD, ZANESVILLE, OH 43701-9175
(740) 624-8260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04055
CERTIFICATION/LICENSE NUMBER FOR OHIO OCCUPATIONAL THERAPY PRACTICE
OH
Enumeration date
02/11/2014
Last updated
02/11/2014
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